Inspection Report Summary
The most recent inspection on August 20, 2025, found no deficiencies. Earlier inspections generally showed few deficiencies, with isolated issues mostly related to facility maintenance and life safety code compliance. Prior reports cited deficiencies in areas such as abuse reporting, medication management, care planning, infection control, and emergency preparedness, but no fines or enforcement actions were listed in the available reports. Complaint investigations throughout the period were mostly unsubstantiated, with no substantiated complaints noted. The inspection history suggests improvement over time, with recent surveys showing no cited deficiencies after earlier issues were addressed.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
151% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
The state complaint survey was conducted on August 19-20, 2025 for multiple complaint numbers. No deficiencies were cited.
Findings
The state complaint survey was conducted on August 19-20, 2025 for multiple complaint numbers. No deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Jun 19, 2025
Visit Reason
Investigation of complaints SF00133171, AZ00206721, AZ00206705 conducted. No deficiencies noted.
Findings
Investigation of complaints SF00133171, AZ00206721, AZ00206705 conducted. No deficiencies noted.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Jun 10, 2025
Visit Reason
Investigation of multiple intakes conducted June 9-10, 2025. No deficiencies cited.
Findings
Investigation of multiple intakes conducted June 9-10, 2025. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: May 22, 2025
Visit Reason
Onsite complaint survey conducted May 22, 2025 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted May 22, 2025 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Date: May 9, 2025
Visit Reason
Onsite investigation of intakes May 8-9, 2025. One deficiency cited related to facility premises and equipment maintenance.
Findings
Onsite investigation of intakes May 8-9, 2025. One deficiency cited related to facility premises and equipment maintenance.
Deficiencies (1)
R9-10-425.A. An administrator shall ensure that: R9-10-425.A.1.b. Free from a ... — Facility premises and equipment maintenance
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
Onsite complaint survey conducted March 3, 2025 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted March 3, 2025 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Feb 14, 2025
Visit Reason
Onsite complaint survey conducted February 14, 2025 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted February 14, 2025 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Feb 4, 2025
Visit Reason
Onsite complaint survey conducted February 4, 2025 for investigation of intake. No deficiencies cited.
Findings
Onsite complaint survey conducted February 4, 2025 for investigation of intake. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Jan 7, 2025
Visit Reason
Onsite complaint survey conducted January 7, 2025 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted January 7, 2025 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
Onsite complaint survey conducted December 4, 2024 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted December 4, 2024 for investigation of intakes. No deficiencies cited.
Inspection Report
Life Safety
Capacity: 103
Deficiencies: 2
Date: Oct 29, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012 conducted October 29, 2024. Two deficiencies cited related to smoke barrier construction and gas equipment storage.
Findings
Recertification survey for Medicare under Life Safety Code 2012 conducted October 29, 2024. Two deficiencies cited related to smoke barrier construction and gas equipment storage.
Deficiencies (2)
Subdivision of Building Spaces - Smoke Barrier Construction 2012 EXISTING Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per... — Smoke barrier construction
Gas Equipment - Cylinder and Container Storage Greater than or equal to 3,000 cubic feet Storage locations are designed, constructed, and ventilated i... — Gas equipment storage
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 10
Date: Oct 25, 2024
Visit Reason
Recertification survey conducted October 21-24, 2024 with investigation of complaints. Twelve deficiencies cited related to abuse reporting, medication errors, care planning, infection control, and food safety.
Findings
Recertification survey conducted October 21-24, 2024 with investigation of complaints. Twelve deficiencies cited related to abuse reporting, medication errors, care planning, infection control, and food safety.
Deficiencies (10)
R9-10-403.F. If an administrator has a reasonable basis, according to A.R.S. § 13-3620 or 46-454, to believe that abuse, neglect or exploitation has ... — Abuse reporting documentation
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.k. Misappropriation of personal and priv... — Resident misappropriation protection
R9-10-412.B. A director of nursing shall ensure that: R9-10-412.B.7. An unnecessary drug is not administered to a resident. — Medication administration
R9-10-414.A. A director of nursing shall ensure that: R9-10-414.A.1.d. Includes the following... — Comprehensive resident assessment
R9-10-421.A. An administrator shall ensure that policies and procedures for medication services: R9-10-421.A.1.b. Procedures f... — Medication service policies
R9-10-421.B. An administrator shall ensure that: R9-10-421.B.1.c. Ensure that me... — Medication administration procedures
R9-10-421.B. An administrator shall ensure that: R9-10-421.B.3.a. Is administered in complianc... — Medication administration compliance
R9-10-421.D. When medication is stored at a nursing care institution, an administrator shall ensure that: R9-10-421.D.3. Policies and procedures are e... — Medication storage and disposal
R9-10-422. An administrator shall ensure that: R9-10-422.1. An infection control program is established, under the direction of an individual qualifie... — Infection control program
R9-10-423.B. A registered dietitian or director of food services shall ensure that: R9-10-423.B.1.a. Using methods th... — Food preparation and safety
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Sep 23, 2024
Visit Reason
Onsite complaint survey conducted September 23, 2024 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted September 23, 2024 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Aug 7, 2024
Visit Reason
Onsite complaint survey conducted August 7, 2024 for investigation of intakes. No deficiencies cited.
Findings
Onsite complaint survey conducted August 7, 2024 for investigation of intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Jul 26, 2024
Visit Reason
Onsite complaint survey conducted July 25-26, 2024 for investigation of intake. No deficiencies cited.
Findings
Onsite complaint survey conducted July 25-26, 2024 for investigation of intake. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
Onsite complaint survey conducted April 11, 2024 for investigation of intake. No deficiencies cited.
Findings
Onsite complaint survey conducted April 11, 2024 for investigation of intake. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Nov 7, 2023
Visit Reason
Complaint investigation conducted November 7, 2023 for multiple complaints. No deficiencies cited.
Findings
Complaint investigation conducted November 7, 2023 for multiple complaints. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 4
Date: May 5, 2023
Visit Reason
Onsite complaint survey conducted April 27 and May 5, 2023 for investigation of intakes. Four deficiencies cited related to abuse, neglect, quality of care, and care planning.
Findings
Onsite complaint survey conducted April 27 and May 5, 2023 for investigation of intakes. Four deficiencies cited related to abuse, neglect, quality of care, and care planning.
Deficiencies (4)
§483.12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident propert... — Freedom from abuse and neglect
§ 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on t... — Quality of care
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.b. Neglect; — Resident neglect prevention
R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.3. Ensures that a resident is provided nursing care institutio... — Care plan implementation
Inspection Report
Life Safety
Capacity: 103
Deficiencies: 11
Date: Feb 1, 2023
Visit Reason
Recertification survey conducted February 1, 2023 for Medicare under Life Safety Code 2012. Eleven deficiencies cited related to emergency preparedness, fire safety, electrical systems, and gas equipment storage.
Findings
Recertification survey conducted February 1, 2023 for Medicare under Life Safety Code 2012. Eleven deficiencies cited related to emergency preparedness, fire safety, electrical systems, and gas equipment storage.
Deficiencies (11)
[(b) Policies and procedures. [Facilities] must develop and implement emergency preparedness policies and procedures, based on the emergency plan set ... — Emergency preparedness policies
(1) Training program. The [facility, except CAHs, ASCs, PACE organizations, PRTFs, Hospices, and dialysis facilities] must do all of the following: (i... — Emergency preparedness training
(2) Testing. The [facility, except for LTC facilities, RNHCIs and OPOs] must conduct exercises to test the emergency plan at least annually. The [faci... — Emergency preparedness testing
Egress Doors Doors in a required means of egress shall not be equipped with a latch or a lock that requires the use of a tool or key from the egress s... — Safe means of egress
Doors with Self-Closing Devices Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke barrier, or hazardous area enclosure are se... — Maintenance of fire rated doors
Sprinkler System - Maintenance and Testing Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25,... — Sprinkler system maintenance and testing
HVAC Heating, ventilation, and air conditioning shall comply with 9.2 and shall be installed in accordance with the manufacturer's specifications. 18.... — HVAC system maintenance
Electrical Systems - Essential Electric System Maintenance and Testing The generator or other alternate power source and associated equipment is capab... — Electrical system maintenance and testing
Electrical Equipment - Power Cords and Extension Cords Power strips in a patient care vicinity are only used for components of movable patient-care-re... — Proper use of power cords and extension cords
Electrical Equipment - Testing and Maintenance Requirements The physical integrity, resistance, leakage current, and touch current tests for fixed and... — Electrical equipment testing and maintenance
Gas Equipment - Cylinder and Container Storage Greater than or equal to 3,000 cubic feet Storage locations are designed, constructed, and ventilated i... — Safe storage of gas cylinders
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